Journal article
Assessing Treatment Integrity in Alcohol Behavioral Couple Therapy
Addictive disorders & their treatment, Vol.15(2), pp.74-84
06/2016
Handle:
https://hdl.handle.net/2376/108213
PMCID: PMC4936783
PMID: 27398073
Abstract
Alcohol Behavioral Couple Therapy (ABCT) is an efficacious treatment for alcohol use disorders. Coding treatment integrity can shed light on the active ingredients of ABCT, but there are no published studies of treatment integrity instruments for ABCT. The present study describes the development and initial reliability of the Treatment Integrity Rating System - Couples Version (C-TIRS) for ABCT.
The C-TIRS was used to rate 284 first- and mid-treatment ABCT sessions of 188 couples in four randomized clinical trials.
Average inter-rater reliability for distinguishing ratings between C-TIRS items was fair-to-good for quantity items (intraclass correlation [ICC] = 0.64) and poor-to-fair for quality items (ICC = 0.41). Five C-TIRS subscales were defined
to measure treatment components involving cognitive-behavioral therapy, spouse involvement, couple therapy, common therapeutic factors, and overall adherence to the treatment protocol and had adequate internal reliability (
= 0.74-0.89). Inter-rater reliability was fair to good on seven of ten scales but poor on three scales (ICC range = 0.17-0.72).
The C-TIRS was designed to provide information about quantity and quality of the delivery of ABCT components; however, further refinement of the C-TIRS is warranted before it should be used in frontline practice. Clinical implications and recommendations for future research are discussed.
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Details
- Title
- Assessing Treatment Integrity in Alcohol Behavioral Couple Therapy
- Creators
- Kevin A Hallgren - Department of Psychiatry and Behavioral Sciences, University of WashingtonShirley M Crotwell - Center on Alcoholism, Substance Abuse, and Addictions, University of New MexicoRosa E Muñoz - Center on Alcoholism, Substance Abuse, and Addictions, University of New MexicoBecky K Gius - Center on Alcoholism, Substance Abuse, and Addictions, University of New MexicoBarbara S McCrady - Center on Alcoholism, Substance Abuse, and Addictions, University of New MexicoBenjamin O Ladd - Department of Psychology, Washington State University VancouverElizabeth E Epstein - Department of Psychiatry, University of Massachusetts Medical School
- Publication Details
- Addictive disorders & their treatment, Vol.15(2), pp.74-84
- Academic Unit
- Psychology, Department of
- Publisher
- United States
- Grant note
- T32 AA007455 / NIAAA NIH HHS R01 AA007070 / NIAAA NIH HHS R37 AA007070 / NIAAA NIH HHS T32 AA007569 / NIAAA NIH HHS T32 AA018108 / NIAAA NIH HHS R01 AA018376 / NIAAA NIH HHS
- Identifiers
- 99900546717901842
- Language
- English
- Resource Type
- Journal article